Incidence rate of hospital-onset Clostridioides difficile infection |
Indirect assessment of quantity and spectrum of AU in healthcare facilities
Tool for evaluation of IPCPs, clinical decision support programs, laboratory, and diagnostic stewardship
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Incidence rate of ESBLE infections or colonization |
ESBLE predominantly cause community-onset infections in North America and Europe
Better metric for ambulatory ASPs and IPCPs than inpatient ASPs
Rates are influenced by prior colonization
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Incidence rate of MRSA infections or colonization |
MRSA has emerged as community-onset bacteria as well
Association between MRSA and AU is not very clear
Measures performance of IPCPs more than ASPs
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Sepsis or bloodstream infection case-fatality rate |
Evaluates clinical, diagnostic, and interventional critical care skills; clinical decision support programs; and laboratory diagnostics, including microbiology
ASPs may influence only one of many variables that determine outcome, that is, empirical antimicrobial therapy through institutional management guidelines and other interventions
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Cost of healthcare |
Antimicrobial cost is a fraction of total healthcare cost
ASPs may indirectly contribute to reduction in healthcare cost by reducing length of hospital stay through selection of appropriate empirical antimicrobial therapy and reducing risk of antimicrobial adverse events such as acute kidney injury and C. difficile infection
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